• Direct and manage the day-to-day operations of Revenue Cycle including Insurance Verification/Authorizations for a multi-state Home Health Agency that includes multiple payor groups (Medicare, Med Adv, Medicaid & commercial) and multiple discipline billing (Private duty nursing, skilled care, Unskilled, Independent Living and private pay)• Establish and maintain multiple payer relationships with multi-state Medicaid, Medicare, commercial and various Medicare Advantage payers and Home Health associations• Develop and implement strategies to improve efficiencies within RCM function through increased automation, process improvement and team collaboration• Oversee department strategies to maintain and manage key performance indicators: AR days, denial rate, cash flow, authorization management, appeal process, etc.…• Provide guidance and feedback to branches about payer issues and requirements• Ensure appropriate management and staffing levels to manage work flow and meet performance standard, including vendors• Utilize performance management through coaching, mentoring, team huddles, annual reviews and corrective action plans• Identify and recommend software enhancements that will improve RCM effectiveness• Coordinate and implement all functions of clearinghouse management for claim submission, remit acceptance and RCM reporting capabilities• Collaborate with payor provider representatives, legislators and contracting to resolve payer issues, implement rate corrections and identify risk areas that could impact reimbursement

• Provide operational leadership and day to day management of a remote staff based at multiple customer locations in an assigned territory• Establish, build and maintain provider/client relationships at all leadership levels throughout assigned territory • Manage team/territory achievement of production goals, including quality, reduction of A/R, denials and profitability• Utilize performance management through coaching, mentoring, development/succession planning, team huddles, annual reviews and corrective action plans• Drive Optum culture through daily reinforcement of core values and culture concepts• Develop & implement strategies and or/sop’s into objectives for the assigned territory• Monitor quality and manage overall credit balance inventory assigned to staff

• Manage the day-to-day Revenue Cycle for Hospice, Homecare, Home Infusion, Health Alert, HealthEast Transportation & LTACH by planning, organizing, directing and evaluating all duties of Specialty Billing including denial management, claim edits, process improvement, follow up, and appeals• Serve as a liaison between homecare and home infusion operations, intake and contracting by identifying and recommending changes that will improve compliance, data integrity, productivity and/or financial performance• Collaborate with Directors, Managers on a daily basis in all areas of specialty billing• Participate in Value Based Improvement (process improvement) system strategies and lean flow process• Identify, recommend and implement workflow changes based on needs of department and staffing

• Manage the day-to-day revenue cycle for theTransportation Billing Department by planning, organizing, directing and evaluating all duties including insurance verification, charge entry, customer service, payment posting, follow up, collections, and medical record maintenance• Administers, monitors and evaluates the effectiveness of the system software needs including system security, user functionality, user security, electronic clearinghouse & claim set up• Identify, recommend and implement operational changes related to billing, compliance, data integrity and software application which improve service, productivity, quality and financial performance• Develop and maintain network with CMS, state agency, third party payers, contracting representatives in all areas related to federal regulations, billing compliance, audits and reimbursement• Implement and facilitate process changes for ambulance billing related to industry and/or government changes• Manage all non-clinical compliance functions, including but not limited to, medical record documentation, coordination and development of annual compliance training for all staff (including ambulance personnel), maintenance of Ambulance Compliance Manual, coding and medical necessity compliance, HIPAA issues related specifically to ambulance• Develops and maintain network with Minnesota Ambulance Association, American Ambulance Association, EMSRB (state agency), Medicare Carrier, CMS, Third Party Payers and Contracting Reps in all areas related to federal regulations, billing compliance, audits, reimbursement and education related to ambulance billing and compliance operations• Serves as a resource to the HealthEast Medical Transportation Director, Ambulance Operations and Dispatch Operations by identifying and recommending changes that will improve compliance, data integrity, productivity and/or financial performance